| NPI | 1487120895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist Pediatrics (Licence: TN 3484) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3484) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-02-08 |